of clinical experience as a NP or PA Awareness about UM standards, NCQA requirements, CMS guidelines, Milliman guidelines...
, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems Pay is based on several factors including...
organization Experience in a telephonic role Knowledge of Interqual or Milliman guidelines (MCG) *All employees working...
Required Experience using InterQual or Milliman Preferred Licenses and Certifications RN - Registered Nurse - Georgia State Licensure...
Proficient in Allscripts EMR, Allscripts CM software program, Milliman Care Guidelines (MCG), IDX and 3M within 6 months...
Advantage and/or Medicaid (CDPS Rx, Milliman, Mercer), Quality (HEDIS / STARS) measure performance, Population Health including...
preferred. Knowledge of Milliman Criteria and InterQual Criteria preferred. The company is dedicated to empowering its staff...
Health, or Business from an accredited college or university is preferred. Prior experience using Milliman or InterQual...
(within past 3 years) working knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical...
(within past 3 years) working knowledge of Milliman Care Guidelines, preferred. Minimum of three years (3) in clinical medical...